基于ABC-X模型护理干预在肠造口患者就医体验中的应用效果  

Application effect of nursing intervention based on ABC-X model in medical experience of patients with enterostomy

作　　者：黄燕贞 罗桂芝[1] 杨又专[1] 周佳[1] HUANG Yanzhen;LUO Guizhi;YANG Youzhuan;ZHOU Jia(Department of General Surgery,Zhujiang Hospital,Southern Medical University,Guangdong Province,Guangzhou510280,China)

机构地区：[1]南方医科大学珠江医院普通外科,广东广州510280

出　　处：《中国医药导报》2024年第25期178-182,共5页China Medical Herald

基　　金：广东省卫生健康委员会医学科研基金立项项目(A2024538)。

摘　　要：目的 探讨基于ABC-X模型护理干预在肠造口患者就医体验中的应用效果。方法 选取2023年4月至8月于南方医科大学珠江医院首次接受肠造口术的60例结直肠癌患者为研究对象,根据护理干预方法的不同,将其分为对照组(30例)和试验组(30例)。对照组实施常规造口护理,试验组在对照组的基础上实施基于ABC-X模型护理干预。比较两组患者满意度、自我效能感和心理状态。结果 试验组干预后信息和教育、情绪安慰、尊重患者偏好、身体舒适度、家庭和朋友的参与、医疗服务的连续性评分及总分均高于对照组,护理协调评分低于对照组(P<0.05)。干预后,两组中文版肠造口患者自我效能量表(SSES)评分均高于干预前,医院焦虑抑郁量表-焦虑亚量表(HADS-A)、医院焦虑抑郁量表-抑郁亚量表(HADS-D)评分均低于干预前,且试验组SSES评分高于对照组,HADS-A、HADS-D评分均低于对照组(P<0.05)。结论 基于ABC-X模型护理干预可有效减轻肠造口患者负性情绪,增强自我护理能力和自我效能,提高患者满意度,改善就医体验。Objective To explore application effect of nursing intervention based on ABC-X model in medical experience of patients with enterostomy.Methods From April to August 2023,60 patients with colorectal cancer underwent colostomy for the first time in Zhujiang Hospital of Southern Medical University were selected as the research objects.According to different nursing intervention methods,they were divided into the control group(30 cases)and the experimental group(30 cases).The control group received routine stoma care,while the experimental group received nursing intervention based on ABC-X model on top of the control group.The satisfaction of patients,self-efficacy and psychological status of the two groups were compared.Results After intervention,information and education,emotional comfort,respect for patient preferences,physical comfort,participation of family and friends,continuity score and total score of medical services in the experimental group were higher than those in the control group,the nursing coordination score in the experimental group was lower than that in the control group(P<0.05).After intervention,stoma self-efficacy scale(SSES)scores of the two groups were higher than before intervention,the scores of hospital anxiety and depression scale-anxiety(HADS-A)and hospital anxiety and depression scale-depression(HADS-D)in the two groups were lower than before intervention,and SSES score of the experimental group was higher than that of the control group,HADS-A and HADS-D scores of the experimental group were lower than those of the control group(P<0.05).Conclusion Nursing intervention based on ABC-X model can effectively alleviate negative emotions in patients with colostomy,enhance self-care ability and self-efficacy,improve patient satisfaction,and enhance medical experience.

关 键 词：肠造口术 ABC-X模型 心理状态 自我效能 就医体验 

分 类 号：R473[医药卫生—护理学]